| NPI | 1326331893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 17389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 50944) |
| 207R00000X Internal Medicine (Licence: KY 49722) | |
| 208M00000X Hospitalist (Licence: TN 50944) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2024-10-30 |